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November 1987

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1987;113(11):1234-1237. doi:10.1001/archotol.1987.01860110100017

PATHOLOGIC QUIZ CASE 1  Richard Scharf, DO; Jamie R. Stern, MD; Barry L. Wenig, MD, New Hyde Park, NY.A 53-year-old man presented with a 5 × 5-cm firm, nontender, midline neck mass inferior to the hyoid bone that moved during deglutition. The patient denied drainage from the mass hoarseness, hemoptysis, otalgia, or dysphagia. There was no change in the patient's weight, skin, hair, or bowel habits. He denied cigarette smoking or alcohol abuse.Results of a thyroid scan using technetium 99m (Fig 1) demonstrated normal thyroid tissue with a small increase in activity in the region of the mass. Results of laboratory studies disclosed the following values: 24-hour uptake of radioiodine, 0.24 (24%) (normal, 0.15 to 0.40 [15% to 40%]); triiodothyronine, 2.6 nmol/L (167 ng/dL) (normal, 1.5 to 2.9 nmol/L [100 to 190 ng/dL); thyroxine, 132 nmol/L (10.28 μg/dL) (normal, 71 to 148 nmol/L [5.5 to 11.5 μg/dL]); and thyroid-stimulating hormone, 5 mU/L (5 μU/mL) (normal, 0 to 10 mU/L [0 to 10 μU/mL]).

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